HR2114119th CongressWALLET

Block Organ Transplant Purchases from China Act of 2025

Sponsored By: Representative Dunn (FL)

Introduced

Summary

Blocks federal and many private payments and coverage for organ transplants tied to the People's Republic of China. The bill bans coverage for transplants that occur in the People’s Republic of China or that use organs not procured through the Organ Procurement and Transplantation Network and creates criminal and civil penalties and HHS rulemaking to define prohibited items and penalty costs by January 1, 2026.

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  • Patients and families: People who receive a transplant that meets the ban will not have Medicare, Medicaid, or group health plan coverage for the transplant or routine follow-up care after January 1, 2026, unless the follow-up item or service is needed to save the person’s life.
  • Federal programs and insurers: Medicare reimbursement is barred for prohibited transplants and related items or services. Medicaid state plans must not pay for them and may recover amounts already spent on such transplants or related care.
  • Providers and plans: Furnishing a prohibited transplant can trigger criminal penalties up to 2 years in prison and fines. Civil liability can be imposed equal to three times the HHS-determined cost of the transplant or related items, and the Attorney General or state attorneys general may bring suits.

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Bill Overview

Analyzed Economic Effects

3 provisions identified: 0 benefits, 2 costs, 1 mixed.

Medicare, Medicaid, and plans deny banned transplants

Starting January 1, 2026, this bill would stop coverage and payment for a prohibited organ transplant. It would also bar payment for related care like follow-up visits, lab tests, or drugs, unless that care would save the person’s life after the transplant. For group health plans, the rule would begin for plan years starting on or after January 1, 2026. For Medicare and Medicaid, it would apply to care furnished on or after January 1, 2026. States could try to recover Medicaid amounts paid for these banned transplants and related care.

Providers face bans and penalties on transplants

Beginning January 1, 2026, health care providers would be barred from furnishing a prohibited organ transplant. They also could not provide related care unless it would save the patient’s life after the transplant. Knowingly violating the ban could be a crime, with fines and up to 2 years in prison. The U.S. Attorney General or a State attorney general could also sue for a civil penalty equal to three times the cost, as set by HHS.

What counts as a banned transplant

Starting January 1, 2026, a transplant would be “prohibited” if it happens in the People’s Republic of China or uses an organ not obtained through the U.S. Organ Procurement and Transplantation Network. The covered organs would include kidney, liver, heart, lung, pancreas, bone marrow, cornea, eye, bone, intestine, any vascularized composite allograft, and any subpart. HHS would need to issue rules by January 1, 2026 to list prohibited items and services and set the cost basis used to calculate civil penalties.

Sponsors & CoSponsors

Sponsor

Dunn (FL)

FL • R

Cosponsors

  • Bilirakis

    FL • R

    Sponsored 3/14/2025

  • Moolenaar

    MI • R

    Sponsored 3/14/2025

  • Hinson

    IA • R

    Sponsored 5/13/2025

Roll Call Votes

No roll call votes available for this bill.

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